| NPI | 1699050914 |
|---|---|
| Doing Business As | SANAVIDA PICO RIVERA |
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO L GONZALEZ Owner 626-664-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |